EFFECTS OF COGNITIVE-BEHAVIOURAL AND CONTINGENCY MANAGEMENT THERAPIES ON DRUG ADDICTIVE BEHAVIOUR OF IN-MATES IN REHABILITATION CENTERS IN NIGER STATE, NIGERIA

ABSTRACT

The study investigated the effects of cognitive-behavioural and contingency management therapies on drug addictive behaviour of in-mates in rehabilitation centers in Niger State, Nigeria. Seven research questions were answered and seven null hypotheses tested at p<0.05, guided the study. The quasi-experimental design was used for the study. The population of the study was 110 drug addicts in all the government owned rehabilitation centers in Minna, that were undergoing pharmacotherapy at the period of this study. The entire population of 110 inmates formed the sample of the study. Drug Addiction Rehabilitation Manifestation (DARM) Questionnaire and Five- Panel Dip Kit were used for data collection. DARM was validated by three experts in Guidance and counseling, two experts in Rehabilitation Science and two experts in Measurement and Evaluation while Five- Panel DIP Kit was certified by two medical experts. The reliability of DARM was determined, using Cronbach alpha technique. The reliability indices of the clusters were 0.85, 0.79, 0.90, and 0.76 for clusters A – D respectively. The overall reliability coefficient of 0.85 was obtained. ANCOVA and percentages were used to analyze the generated data. The findings of the study revealed that there is a significant effect in the mean response of the drug addicts when exposed to cognitive-behavioural and contingency management therapies on the consequences of drug addiction. The use of contingency management therapy enhanced anger control among drug addicts more than cognitive-behavioural therapy. The use of contingency management therapy (CM) enhanced learning to replace negative thoughts with healthier ones among drug addicts more than cognitive-behavioural therapy (CBT) and the same applied to avoiding relapse. The use of contingency management therapy proved more effective in drug addiction rehabilitation manifestation than cognitive-behavioural therapy. For male and female groups exposed to the three treatment therapies, the posttest means were less than the pretest means with males having a slightly higher mean loss than their female counterparts when exposed to CBT and CT, while the female group had a slightly higher mean loss than their male counterparts when exposed to CM. However, both CBT and CM were better than CT. Conclusions were drawn and implications were discussed, based on the finding. Among the recommendations made are that combination of pharmacotherapy and counselling interventions should be upheld in the rehabilitation process since this study has revealed that counselling interventions yield excellent results.